| NPI | 1063553105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 078236-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 65627) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2011-04-25 |